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2021 Medical Field Scholarship Application for High School Students

The Mercyhealth Association of Volunteers is now accepting scholarship applications for high school seniors and adults residing in Rock, Walworth or McHenry counties who are pursuing a career in the health care field. Several scholarships will be awarded from the Association. Please submit your application by 4 pm on April 15, 2021.

Once you begin completing the application, you can save and continue later by scrolling to the bottom and clicking that button.

Please note, Google Docs, late or incomplete submissions cannot be accepted.

To complete the student application, you will need to:

  • Complete all required fields on this page
  • Upload the completed Student Hours Verification form for each volunteer organization
  • Upload your official high school transcript

If you have questions, please call (608) 756-6784 or email


  • Name:College:College Locations: 
  • Name:City/State:Applied or accepted: 
  • Company/Organization:Contact person:Phone number:Duties performed:Length of employment: 
  • Organization nameContact personContact phone numberDuties and tasks completedHours workedFrequency (weekly/monthly) 
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Scholarship money will be sent to recipient following the successful completion of the recipient’s first semester of college. Student must provide documentation that he/she completed a minimum of 12 credits with a GPA of 3.0 or higher, and registered for the second semester with a minimum of 12 credits prior to receiving the scholarship funds.
  • This field is for validation purposes and should be left unchanged.
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